Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,630.78 / $9,549.93	Facility		$2,041.74	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,995.26 / $3,162.28	Professional		$1,621.81	$1,995.26	$3,162.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $19,054.61 / $26,302.68	Facility		$8,709.64	$19,054.61	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,238.72 / $3,162.28	Professional		$1,659.59	$2,238.72	$3,162.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,238.72 / $2,818.38	Professional		$1,778.28	$2,238.72	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $3,630.78	Professional		$1,698.24	$2,290.87	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $5,011.87	Professional		$1,584.89	$1,995.26	$5,011.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,162.28 / $4,073.80	Professional		$2,511.89	$3,162.28	$4,073.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $3,801.89	Facility		$1,819.70	$2,511.89	$3,801.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $7,413.10	Facility		$1,659.59	$2,290.87	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $7,413.10	Professional		$1,659.59	$2,290.87	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,467.37 / $7,079.46	Facility		$1,698.24	$3,467.37	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,290.87 / $3,630.78	Professional		$1,445.44	$2,290.87	$3,630.78